Blake K Wu, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11670 Issued in TX

Practice address

4302 W Lovers LN
Dallas, TX 75209-2804

Phone

(214) 862-1469

Fax

(855) 950-0085

NPI assigned

May 3, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1114219664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752092804",
            "telephone_number": "214-862-1469",
            "fax_number": "855-950-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752092804",
            "telephone_number": "214-862-1469",
            "fax_number": "855-950-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "BLAKE",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wruck, FNP-C
• Amber Christine Wrye, LCDC, LPC
• WS Neuroassist, PLLC
• WSSH Powerback Rehabilitation Services, LLC
• WTCR Medical Services PLLC
• Braden Wu
• Chunxia Wu, N.P.
• Edward Earlkang Wu, MD
• Emily Wu
• Eric Wu

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.